Effectiveness of Motivational Interviewing Supervision in Community Programs

Inclusion Criteria

• •For Clinicians
• •age 18 or older who work at one of the 12 participating programs
• •willing to serve as study clinicians and learn the MI assessment intake
• •working at least 20 hours per week at the program
• •are not intending to give notice to their employer that they intend to leave the agency or are not scheduled for medical or family leave during the study period
• •willing to record clinical sessions for review by the MI expert and/or independent raters
• •willing to have supervision sessions recorded if randomized to MIA: STEP condition
• •deemed capable by program administrative leadership to manage the responsibilities of being a clinician in a randomized trial
• •English-speaking
• •seeking non-opiate replacement outpatient treatment for any substance use problem and have used primary substance (alcohol or illicit drug) at least once in the prior 28 days
• •18 years of age or older
• •willing to participate in the protocol (randomization to clinicians contact for follow-up assessments, MI session recording for supervisor and independent review)